Physician
Appalachia Health Services
Appalachia Health Services was paid $18K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoAPPALACHIA HEALTH SERVICES
JELLICO, TN 37762
JELLICO, TN 37762
33aNPI1568542009assigned 10/17/2006
33bProvider typeNeuromusculoskeletal Medicine & OMM Physician
28Total paid$18K
24GClaims863
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 187 | $3K | |
| 2019 | 93 | $1K | |
| 2020 | 138 | $2K | |
| 2021 | 64 | $1K | |
| 2022 | 56 | $706.49 | |
| 2023 | 48 | $886.08 | |
| 2024incomplete | 277 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 84% | 603 | 495 | $15K |
| 99442 | 13% | 108 | 83 | $2K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.3% | 13 | 12 | $403.81 |
| 82962 | <1% | 139 | 119 | $155.71 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialESCALANTE, DAVID (CEO)
| Provider | Location | Paid |
|---|---|---|
| Appalachia Health Services LLC | Williamsburg, KY | $321K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.